Reservation Form


Name:
First Name:
Date of Birth:
Street:
Town/City:
Zip-Code:
E-Mail:
Contageous Illnesses Yes No
If yes, please name which one
Are you pregnant? Yes No
Room: Single Room Double Room


Arrival Date:
Arrival Time:
Flight No.:
Airline:
Departure Date:

 



Ayurveda Centre
Lawrence Hill Paradise
47 Waulagoda Hikkaduwa, Sri Lanka
Tel. 00 94 - 91 22 77 544, Fax. 00 94 - 914 38 32 99

 
 
   
Last Update September 2010 © Ayurveda Centrum Lawrence Hill Paradise Hotel, Sri Lanka - Coded by K.P.Gayan Tharaka